• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Risk Assessments

  • How many machines or processes occur in the area?

  • What are they

  • How many of these have an upto date Risk Assessment?

Manual Handling

  • How many Manual handling tasks are involved in the area ?

  • What are they

  • How many have been reviewed in the last year?


  • What substances are used in the area, is there an assessment and when were they reviewed?

  • Are there any secondary containers unmarked?

  • Add media

Loto Signage

  • Loto sign in place?

Toolbox talks

  • How many toolbox talks have been delivered in the last month

  • Has fire evacuation been delivered in the last year?

  • Has Manual Handling been delivered in the last year?

  • Has slips trips and falls been delivered in the last year?

  • Has Noise been delivered in the last year?

  • Has pedestrian activities been delivered in the last year?

  • Has COSHH been delivered in the last year?


  • Does the section have a training matrix?

  • Does the training matrix show levels of competancy ?

  • Is there documentary proof to support the declared competancy status?<br>

Employee behaviour

  • Employee Name

  • Machine / process running

  • Hearing protection being worn correctly?

  • Eye protection being worn

  • Safety footwear being worn

  • Can the employee explain the purpose of the Lock Out / TAg Out process?

  • Can the employee demonstrate how to Lock Out / Tag Out ?

  • Has the machine been checked before use ( evidence the daily safety sign off sheet )

  • Can the employee explain the main risks associated with the activity?

  • Good manual handling pratice evedent ?

Machine Safety

  • Machine ?

  • Lock out / tag out sign ?

  • Hearing protection sign ?

  • Eye protection sign ?

  • Guards in place ?

  • Risk assessment for the machine available ?

  • Controls with legible writing ?

  • Push sticks closely available and in good condition?


  • Evacuation plan displayed showing all relevant escape routes and roll call point?

  • Fire exinguisher station identification

  • Extinguishers in place, clearly marked for type of fire?

  • Extinguisher serviced in the last 12 months?

  • When ?

  • Has extinguisher been departmentally checked in the last month?

  • When was the last time?

  • Extinguishers clear of obstructions?

  • Adequate direction notices for fire exits?

  • Fire exits easily opened from inside?

  • Exits clear of obstructions?

  • Other than at workstations is the section clear of flammable substances ?

Machines with Ajustable Guards

  • First Machine

  • All adjustable guards properly set? (photo)

  • Second Machine

  • All adjustable Guards Set properly? (photo)

  • Third Machine

  • All adjustable guards set properly? (photo)

Emergency proceedures

  • Emergency lighting operable?

  • All lights working?

  • Emergency proceedures by the office telephone ?

Building Safety

  • Floor surface even and uncluttered

  • Entry and walkways clear

  • Walkways clearly and adequately marked?

  • No unattended splls?

Work Benches

  • Clear of rubbish / clutter ?

  • No damaged hand tools ?

  • No damaged power tools ?

  • Evidence of 5s workplace organisation throughout area ?


  • Bins not full?

  • No rubbish under stairs or under machines?

  • Good segragation of waste streams ?


  • Evidence of systematic racking inspection in area?

  • Evidence of racking repair?

  • Dramaged racking isolated ?


  • Machine inspected?

  • Emergency stop works?

  • No double adaptors in use?

  • Portable equipment tested and tagged ?

  • No broken plugs, sockets or switches ?

  • No trailing leads ?

  • No frayed or damaged leads?

  • No access to live circuits ?

  • Cabinets properly locked and electrical hazard danger symbol displayed ?

  • Adequate access to switch gear ?

  • Wiring from disconected plant properly terminated ?


  • Ladders in area a minimum of EN131 ?

  • Are ladders in good condition?

  • Evidence of pre use checks ?

  • Evidence of periodic checks ?

  • Ladders tagged and on ladder register ?

First Aid

  • Are there enough first aiders on shift ? 1 for every 50 employees

  • First aid supplies sufficient and in date?

  • Eye wash stations full and in date ?

  • First aiders identified on the notice board ?

  • HSE Poster displayed

Fork lift truck

  • Fork lift truck driver

  • Driver wearing lap belt restraint?

  • Evidence of truck shift signed off ?

  • Driving standard ?

  • Good use of horn and slowing down at doorways?

Working at height

  • Any work at height during the audit?

  • If yes then why is it happening?

  • Is the working being supervised?

  • Are the operatives trained?

  • Comments


  • Does the area need to use knives?

  • If so what safety type are they?

  • Is there a reason why safety knives are not being used?


  • Additional Comments

  • Auditor

  • Group Manager

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.